Anesthesiologist, Delhi

Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.

More about Dr. Abhishek Punhani

Dr. Abhishek Punhani is one of the best Anesthesiologists in Malviya Nagar, Delhi. You can meet Dr. Abhishek Punhani personally at Vardaan Hospital in Malviya Nagar, Delhi. Book an appointment online with Dr. Abhishek Punhani and consult privately on Lybrate.com.

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Hello lybrate-user
for shoulder pain first give complete rest for five days to that hand. Avoid driving. Writing or picking weights etc.
In medicines you can take tablet rumalya fort one one tablet three times after food and do seka with hot water bottle for ten ten minutes two times a day and apply reumalya liniment three times daily. Take this medicines for two weeks it will help you.
In diet avoid fried food. Sweets. Maida food. Cold drinks etc.

Lybrate-user your weight acording to your height is normal. So pain must b because of some damage to the cartilage of knee joint due to tear of acl. First of all stop using indian toilets. Start useing western toilet. Do not bend your knee more than 90 degree as far as possible. Do some strengthening exe of quadriceps nd halmstring.

First of all check your weight and your haemoglobin levels as this may not be due to your back pain. Whenever you do breathing in and out you will feel pain in the upper back, middle back and also the pain will radiate upwards until the shoulder and also up to the chest. You might feel chest congestion and tightness and that be due to gastric trouble. Kindly do breathing exercises which might help you to get reduced with pain in the back and shoulder. Drink hot water to reduce the gastric trouble. Kindly consult gastroenterologist if you doesn’t improve.

Is there any family history of r. A? you started your pain from right knee which doesn't seem to be the pain from r. A? still if you suspect, must have a blood test done. Also burn 50gms garlic and 50 gm ajwain in 250 ml of til oil. Filter it and daily massage your knee with it for 10-15mins, if there is no swelling. If pain is severe, take some ayurveda treatment.

It seems you have improved but diagnosis is still elusive ,it will be better for me to examine you to diagnose and treat you properly. Till than you can use cycling as fitness regimen rather than jogging.

It could be fibromyalgia rule out diabetes & vit. D deficiency or any other metabolic disorder.
Sleep on a hard bed with soft bedding on it.
Use no pillow under the head.
Any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also.
Do neck & back (spine) exercises
contact me again if need be.
Use of cervical collar will give you relief.
It may have to be further investigated.
Make sure you are not allergic to any of the medicines you are going to take
do ask for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.

Investigations advised -
hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3
urine r/e
x ray of the affected part. Anyway you may try-
sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful
use no pillow under the head.
Do hot fomentation.
Paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated.
Make sure you are not allergic to any of the medicines you are going to take.
If it does not give relief in 4-5days, inform me.

Hi
If you have localized back pain with
- no neurological symptoms like numbness, paresthesia, weakness in limbs etc, my advice is: - intensive physical therapy initially under supervision of a physiotherapist and then at home.
- avoid forward bending, lifting heavy weights etc
- take an analgesic like diclofenac or something which suits your body for 5-7 days
- take muscle relaxant for same time as analgesic to relieve muscle spasm
- ice packs at the site of pain, muscle spasm
- local analgesic spray can be used but no massage is required let me know how you are feeling. I will actually ask you to get x ray of involved region of spine ( ap & lateral)
and send reports across to me so that I can advise further in a better manner. Do not hesitate to contact me if you need any further assistance